Provides support to the surgical team for the Northwest Surgical Services region throughout the intra-operative stage of surgical care. Performs surgical operations in coordination with the surgeon and the medical staff, including assessing, planning, directing, delivering, and evaluating advanced nursing care. To assist with elective, emergent, and urgent surgical cases, all RNFAs will take part in a regional on-call rotation.

Essential Purposes

• Typical Duties or Functions: Performance benchmarks for practice: Pre-operative. carries out preoperative evaluation and assessment. collaborates on the treatment plan with the surgical team. Intra-operative: According to AORN standards, licensure, state regulations, and facility/practice norms, provides knowledge-based technical help to the surgeon during the operational procedure, including: Using equipment and medical devices. exposing the surgical procedure. cutting and/or handling tissue When ordered by the surgeon, clamp, cut, and ligate tissue while maintaining hemostasis. suturing as the surgeon instructs. Post-Operative. evaluates the patient after surgery in accordance with the hospital's protocols.

• Practice criteria of performance: Under the supervision of the attending surgeon, assist in all surgical specialties. follows Kaiser Permanente's institutional policies and procedures, the AORN Position Statement on RN First Assistants, and the Nurse Practice Act of the State of Oregon when carrying out RNFA duties. Practice within your preparation and experience boundaries. demonstrate your clinical expertise in the RNFA. Continually review and update the skills checklist in accordance with Kaiser Permanente policies. Handling tissue, providing exposure, using instruments, clamping, cutting, and legate as instructed by the surgeon, providing homeostasis, and suturing as instructed by the surgeon are all examples of intraoperative nursing behaviors. collaborates with the scrub person and circulating nurse to help with room preparation. bring the patient's X-rays into the room NOTE: Informs Charge Nurse or designated representative if movies are unavailable. helps with patient transfer to the operation room table and transportation of patients there. helps the anesthesia department out during induction. takes part in the pre-operation briefing time-out procedure. helps with patient positioning. assists with patient preparation, including shaving, catheterization, and other essential procedures. helps with patient drapery. sets up the sterile field's suction, lights, and ESU. the sterile field's free counted objects are observed. Watches for deviations from sterile procedure and responds appropriately as necessary.

• Planning and Assessment Standard of Performance: Communicates information to ensure continuity of care. demonstrates professional and polite communication with patients, families, and other staff members. through education, training, and experience, acquires the skills and information necessary to deliver appropriate population-based and culturally sensitive care to patients and families. offers ongoing evaluation during the intraoperative time. uses understanding of the procedure type to design for the proper setup.

• Provides assistance with tools and equipment as needed. Dressings are applied, and drainage tubes are fastened. helps with post-operative patient positioning and transfer. collaborates with the scrub person and circulating nurse to help with room dismantle down and turnover. As designated, may provide pre- and post-operative patient education. Check the chart for relevant information. aid in preserving a safe environment and encouraging procedure efficiency.

• Practice criteria of performance: Under the supervision of the attending surgeon, assist in all surgical specialties. follows Kaiser Permanente's institutional policies and procedures, the AORN Position Statement on RN First Assistants, and the Nurse Practice Act of the State of Oregon when carrying out RNFA duties. Practice within your preparation and experience boundaries. demonstrate your clinical expertise in the RNFA. Continually review and update the skills checklist in accordance with Kaiser Permanente policies. Handling tissue, providing exposure, utilizing instruments, clamping, cutting, and legate as instructed by the surgeon, ensuring homeostasis, and suturing as instructed by the surgeon are all examples of intraoperative nursing practices. collaborates with the scrub person and circulating nurse to help with room preparation. bring the patient's X-rays into the room.

NOTE: Alerts If movies are not accessible, charge the nurse or your designee. helps with patient transfer to the operation room table and transportation of patients there. helps the anesthesia department out during induction. takes part in the pre-operation briefing time-out procedure. helps with patient positioning. assists with patient preparation, including shaving, catheterization, and other essential procedures. helps with patient drapery. sets up the sterile field's suction, lights, and ESU. the sterile field's free counted objects are observed. Watches for deviations from sterile procedure and responds appropriately as necessary.

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